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International Journal of Bioprinting                          3D-Printed Zn/MgHA-PCL for angio/osteogenesis




            2.3.5. In vitro osteogenic differentiation         2.4. In vivo experiments
            potential evaluation
            Composite scaffolds and BMSCs were co-cultured in a   2.4.1. Surgical procedure of animal studies in vivo
            24-well plate at 1 × 10  cells/well. After cell attachment to   In vivo bone repair was detected using a rat femoral defect
                              4
            the bottom  of the plate, the culture media was replaced   model. Forty-eight Sprague-Dawley rats (250 g; six weeks
            with the composite scaffold extracts. After 7 and 14 days   old; male) were divided into six groups: control, HA-PCLs,
            of culture, cells were stained using the ALP kit (YEASEN,   10Zn@HA-PCLs,  5Mg10Zn@HA-PCLs,  10Mg10Zn@
            China), and the optical density (OD) value at 405 nm was   HA-PCLs, and 15Mg10Zn@HA-PCLs; the control group
            determined using the enzyme marker method on day 7 of   had femoral defect without a scaffold. After anesthesia
            culture for semi-quantitative analysis.            was induced with an intraperitoneal injection of 4%
                                                               pentobarbital sodium (0.9 mL/100 g), a hole with a depth
               Mineralized nodules on BMSCs after co-culture were   of 3 mm and a diameter of 3 mm was drilled into the lateral
            observed using Alizarin Red S (ARS) staining. Briefly, after   epicondyle using a hand drill. Utilizing 4-0 silk sutures, the
            21 days of co-culture, cells were stained using ARS staining   skin incision was stitched shut. The experiment followed
            solution  (C0138; Beyotime,  China)  and imaged  using   the recommendations of the Institutional Animal Care and
            an optical microscope (Olympus, Japan). Subsequently,   Use Committee (IACUC) of Shanghai Jiao Tong University
            10% cetylpyridinium chloride solution was added for   (animal protocol number: O_A2023001).
            decolorization for 15 min. The OD value at 562 nm was
            determined using an enzyme marker at 562 nm for    2.4.2. Histological evaluation
            semi-quantitative analysis.                        and immunohistochemistry
                                                               The animals were divided into six groups, every group had
               The RT-qPCR was performed to evaluate the expression   eight animals. At week 6, half of every group was euthanized.
            of osteogenic-related genes, including OPN, OCN, ALP,   At week 12, the remaining animals were euthanized.
            RUNX2, and β-actin. Briefly, after co-culturing sterile
            composite scaffolds with BMSCs for 7 days, cDNA synthesis   The femora were removed and fixed in 4%
            and amplification were performed as described in Section   paraformaldehyde for 7 days (replaced twice with tissue
            2.3.4. The sequences of the primers are summarized in   fixative). The tissue samples were subsequently decalcified
            Table S1, Supporting Information. The experiments were   with 10% EDTA for approximately 30 days, in preparation
            repeated four times.                               for the histopathological analysis. According to the steps
                                                               specified by the manufacturer, hematoxylin and eosin
            2.3.6. Western blot                                (H&E), Masson’s trichrome staining, and α-SMA, CD31,
            Both HUVECs and BMSCs were cultured for 24 h and 14   and COL I immunohistochemical staining were performed.
            days in composite scaffold extracts, respectively. The cells   The sections were examined on a pathological tissue section
            were then lysed on ice for 30 min in 200 μL of RIPA lysis   scanner (Pannoramic MIDI II; 3DHIDTECH®, Hungary).
            buffer. After that, the samples were centrifuged at 14,000 ×
            g at 4°C for 15 min. The supernatants were collected and the   2.5. Statistical analysis
            protein concentrations were measured using a BCA protein   All data are presented as the mean ± standard deviation.
            assay kit (Beyotime, China). The samples were separated   Differences between the groups were examined by using
            using a Precast Protein Plus Gel (36250ES10; YEASEN,   Tukey’s post hoc test and one-way analysis of variance
            China) and were then transferred onto a polyvinylidene   (ANOVA). Statistical analysis was performed using
            difluoride  (PVDF)  membrane.  The  membranes  were   GraphPad Prism software. A p-value < 0.05 (*p < 0.05, **p
            blocked in TBST solution with 5% bovine serum albumin   < 0.01, ***p < 0.001) was considered statistically significant.
            (BSA; Beyotime, China). The membranes for HUVECs were
            incubated overnight with anti-CD31 (1:2000; Proteintech,   3. Results and discussion
            China), anti-VEGF (1:1000; Proteintech, China), and anti-  3.1. Preparation and characterization of element-
            GAPDH (1:1000; Proteintech, China) antibodies. The   doped HA
            membranes  for  BMSCs  were  incubated  overnight with   In this study, HA and element-doped HA were synthesized
            anti-COL1 (1:500; Proteintech, China), anti-OPN (1:1000;   using elements Zn and Mg, as well as the H6L small
            Proteintech, China), anti-OCN (1:500; ABclonal, China),   molecular template agent, via the hydrothermal synthesis
            and anti-GAPDH (1:1000; Proteintech, China) antibodies.   method. The SEM results (Figure 2A) indicated that all HA
            Thereafter, the membranes were incubated with an HRP-  groups exhibit spherical shapes with diameters ranging
            conjugated secondary  antibody.  The  band  signals  were   from 5 to 10 μm. Compared with HA synthesized without
            detected using a chemiluminescence imaging system   H L,  the addition of H L resulted in the uniformly
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                                                                6
                                                                                     6
            (Tanon, China).                                    spherical HA  with  regular  morphology.  The  sphericality
            Volume 10 Issue 6 (2024)                       287                                doi: 10.36922/ijb.4243
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